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ELECTHICAL.INSPECTOR RECORD
<br />APPROVALS ID/SIG.
<br />Site-Work
<br />Underqround
<br />Pole Bases
<br />Liohl Standards
<br />Spas, Pool, Fountains
<br />Sions (monument)
<br />Life Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bondino / Groundinq / UFER
<br />Translormers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Rool Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouoh)
<br />Ceilinqs (Hard & Solfit Rouoh
<br />Ceilinqs (T-Bar Rouoh)
<br />ltrleter Release
<br />Rouqh
<br />Service lvleter
<br />FINAL .fcya L c.s /v'€-.1b I?rZ/7
<br />Notes, Remarks, Etc.
<br />OWNER IUILDEN DELCATATI('N
<br />I tErht lrum ud.r Fn liy 6f F,lry rh, I m.rcnpr frem rlr C. rrloR Lirc bq rot llE folt'*i,3 esn (Sdroll5
<br />B$i6. .,n Profcsi,n Cod.l Any Cty or Cody *hat EquiB . pq r ro oirM. .1t6, ,lpmG, .l.mli,i or EFn dy
<br />5tNcnft. pmr to nr iirlec, do i!qut.3 rlr rpglidr f6r Mh Fm o nG r r8En nftftn! ln l lE or dE ; tiurd Fr{.nr
<br />ro th. pmvirioN of tlx Conlrrcrol3 Licn$d Llw lcnrFrcr 9. Commrcins pirh Sdrion TlIx) ol Divti.n 3 of llE BusiB$ od
<br />Pmf.sitnr Codct M rhtr lE or nE n .rrB rlEdiom lrn lh l.lir ror rtt .tkgrd .x.nqiin. tuy rhhri,n .f Sdion 7011.5 by .ny
<br />rppla. tu s Fmr obFB tlr .pplt m ro r civil Fohy ol d mE rhx fiw hun&.d dol!.,s (t500)
<br />v_1.rr uwrof rh.pn'Fny, my.mpbFB strh w.B.r r. rlEt q,t conqEnsrion, will &, th. hrt {n di. dar@ n B,
<br />idod.d o6cEi nn st (56 70,1,{- BuriB.M PrDr.si'6 C.r& Th. Co.|fu r IEm L* &.. mr +!ly to u owmr of
<br />rlr FqEny *lD tlildi d iqrB llEe .nd *rD dB si wl hilMla or hs{lf or itftlth hlr d lEr ou.tpbri6.
<br />pevi.,.r! rhd skh rq,rEmdr e mt d.nd.l r otu ru E!. ll tnffi. t E tuildin3 n tqmEm,{ i! nld *irhin m Fr
<br />of cotrpLriotr ltr Oqrcr Build.r will hlw rlr h^hn of pFvins rhn h. or .h. dit @l toilt or lrpDs fF poFry lor tlE ltr4Ds ot
<br />-l..cd*Eof
<br />rhc pmFny. !m crctusiEly codraclns wirt lien*d.onkfrlod ro 6.{rud rh. FDF (Sd 7044, B6trs
<br />rtrd [h'li$r,nCorlc:1'h.Contki(tr-\Lrci\cl-rpd(r{trordfplyr).tro$ncr Ijrfup€ y{h,' huildlor rnrlRr
<br />rnd *lx) c.nrd(ntr ruch,)t)r.rrlirhtr(i'nrrtin lacn{J pu^urr ri rtu Conta.nn s l-i(r{ Ijw)
<br />I !m.r.nDr u,i.r Sdi,
<br />",,, - Pzl ,"Pf """,,X J-41I
<br />I hrrrhltrlrtrmunLlrr|Itrrlrrolp(rury.n rrh.l,,lk,$tr'!dc.'l Jd,n\
<br />-lhlE!,niill
<br />inr.in. C.,tirrl. of Cotrrflr to S.ll l.l@ rd wl6 o,Ftrdio.. s FtrviLd fo. by Sclio. ]7m oflh.
<br />t hor Co&, fd llE Fflm or dr Hit fr f,tih lh tEmn i irtd.
<br />_l h.vc illd will minlrin workui{ comnctrruln,n insur!,tr.. as rcrtutcJ hy Sc.r iu ]700 of I lE lrbor cid.. for th. lErl;rMc or
<br />llE wnl l.]r *hih rhl{ Fmir is iind M, *o d' rotrFnsrror inslrm. c4.r !n lDlay nunrh.r e
<br />-Tyi
<br />'r-\enrfyrharorrErErlormm.,rlE*or\ntr*hrhrhirFrturnr!u.n.Irh.llmrarJhymyp.mnirsynuE$ ts ro h.s,m subFr ro ih. Mll(da congxnxiior lrwrorcrlifon{. ltld agft rhlr ifI shDuld bcsm bFliorrE
<br />m.r6 NnFnelonpDvtionrolsdhn l?0oofltI l$or Codc.I tull. todnwirhotQly wnh &..!ovirion...
<br />WAnNINC: Failurc lo src wrl6 onlltnr.rbn .i,wrrsc n unb*rul. rnd th.lr flbFr d dq,loF b aini
<br />.ivil llN\ up t' otr( hundrcd rhouund dollk^ (51(I),(XX)J, i', rdd tr'n n, rhc.un rf
<br />::'jltrfiUl tl
<br />I Hy .rm un&r FEhy 6t Fr,lry ihd I m liM!.d u,n r Fovtbn ofch.ds 9 tolffiinS enh S<rbn 70@) of Divnbn l
<br />or rlr BusiN rn Prcf.sirB Cod.. !n my lt.e n h tu fre ul.ltci
<br />qqNSIA!qUqU.EOBIi.AG}U]I
<br />I tmby lrtrnund.r FmlryolFrurylhd llE n.m nElbn Lidis rr.my nnrltpdfotrl.Eof rlE wt for *t!.h
<br />'ht
<br />pdmr a
<br />irsu.d (s< 1097, Civ C.).
<br />AEIl.lQtUr.DElIJXlIll!
<br />I ffi, .trm udfl Fn.lty or Fpry om of tlE folbsinl &rkd iont:
<br />Demhbr P.mir!-A:h.nos Noiirraik. FdLnl R.BuLrbnslT k {O. Pd6)
<br />F.quir.d Lllrr oI rhifrlli'n
<br />-l
<br />.crrif, rhar r,t r.n.ral ESxhrionr r8ardins ,$.idr rmvll G d +plkdbL to rhir pmrtl
<br />J1tr.diry lhs I tsE Ed rhL.prltrrbn rn 3rtr. rh.r rrE.rnw i r8rd ro 6itly rh rll Cny!n Counry
<br />iB of rhi! Cny .,i Counly h .d6 upo. llEonliE cr dn Srdc b$ Ehrh* ro h.ildinr con{.Eibr .,n
<br />rhow ftnrbn d FDFny r mFdsl}tr s----\
<br />rppn*ro.r*-r sre-ro.X1 -- l'
<br />*,-*,"r.,,' X '---- ,1 l
<br />.af t"fzr
<br />DATE COMMENTS
<br />lrnJ.r's Ad&.sl
<br />tt
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